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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitlay be subject to 'deed restrictions" which lay be lore restrictive than'" r,H
<br />regulations. The undersigned assues responsibility for cOlpliance with any apR\~iicable deed restrictions. ' .. y
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS~BILITIES
<br />If the owner has hired ~ contractor or contracto~s to un~ertake work, they lay be reqJ'red to be licensed in accordance with
<br />s~ate and loc~l regulatIo~s. ~f the contractor IS not lIcensed as required by law, botft\the owner and contractor lay be
<br />cIted for a Ilsdeleanor VIolatIon under state law. If the owner or intended contractor a~ ~ncertain as to "hat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection
<br />Guide' prepared by the Florida Departent of Agriculture and Consuler Affairs. If the 'applicant is sOleone other than the
<br />'owner', I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />'owner' prior to cOAlenCelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />.Y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />~ Departlent of Environlental Requlation - Cypress Bayheads, Yetland Areas and Environlentally Sensitive Lands,
<br />Yater/Wastewater Treatlent
<br />~ Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />~ ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection Aqency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'colpensating volule' will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code.. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOltenced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAilURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVEHENTS TO YOUR
<br />PROPERTY. IF YOU INTEND'TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />~. JOBS ONOE: 12,500 IN VAlUE DO HOT NEED TO REEORO 'H:':;;T~OTICE OF, COKHEHeEHE .
<br />
<br />
<br />j/JfJA1(;u'</..( ~ ~ .~
<br />SIGNATURE: OWNER OR AGENT / SI NATURE: CONTRACTORU
<br />
<br />
<br />pri:'d' ,r~ui
<br />
<br />STATE OF FLORIDA c:J
<br />COUNTY OF rtfs Co
<br />. The foregoing instrument was acknowledged
<br />befclre me th i s ;}.(J /f;! tj:J ,19 ~;;L by
<br />
<br />~~&?_ ~ ~4A/
<br />
<br />who is persc1nal y known lu 11I<= u. IIh[' hae
<br />p . J
<br />i.~ :<L..ll. h::atilOln and who did/did not
<br />
<br />t~h. . ~
<br />(Si~~~( ::J-- ;::)~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />Notary Publie, State At Large, Florida.
<br />My Commission Expires April 2, 1995
<br />
<br />STATE OF FLORIDA~
<br />COUNTY OF 4 J C. 0
<br />Th~,foregoing ins~ru~nt was acknowledged
<br />before me this ~O ~, 19 rJ- by
<br />
<br />~ IN LLS L.!tfil".ss
<br />who is personally known t~ me 01 ~,~ ha5
<br />
<br />es iden~ifi~ati~n and who~/did not
<br />t~7 ~~o~th. ../J .
<br />~.Mf~9,R21~
<br />(Si9~ature) .' --:-:> \
<br />--tS A-TH t..EE 0 ~, --D ~ ~\bJ
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />Notary Public. State ~t larg~, Florida.
<br />My Commission ExpIres Apn12. 1995
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